NPI | 1558952143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 2321346) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: RI APRN03955) |
163W00000X Registered Nurse (Licence: RI RN45277) | |
Enumeration Date | 2021-01-27 |
Last Update Date | 2024-08-09 |